Pre-licensing visit·March 20, 2024

Licensing Program Analyst (LPA) Michael Bilger, conducted a Pre-licensing visit on 3/20/2024 with current facility Administrator and applicant Jagtar Singh . LPA arrived at facility at 1:55pm . Licensee accompanied LPA on facility tour. Facility is currently licensed and seeking a change of ownership as a Residential Care Facility for the Elderly (RCFE). Fire Marshall was also present during today's visit and accompanied LPA. As of today, current census is 11 residents of which 0 are Hospice, 9 are ambulatory, 2 are non ambulatory, and 0 are bedridden. The facility is a 15 bed, 4 bathroom house with a living room, dining area off the kitchen, and laundry room. There is a separate cottage on the property with 3 bedrooms and 1 bath room. Residents have access to all areas of facility except basement area which is secured and locked. Five of five staff were observed with criminal record clearance and associated to facility. LPA observed complaint poster and resident rights posted. LPA toured the facility. Residents were observed in the living rooms and bedrooms. All rooms contained required furniture and furnishings. LPA measured the hot water to be within regulatory range of 105 *F and 120 *F. LPA observed kitchen knives and other sharp objects and toxins to be locked and secured. Observed kitchen was in good condition with properly stored perishable and non perishable foods. LPA observed 2 days of perishable and 7 days of non-perishable food items. Separate cottage area was toured. Currently 4 residents reside in separate cottage. All areas of facility including separate cottage were observed to be clean and sanitary with no foul odors noted. Fire Marshall on-site updated fire clearance and facility sketch to state 8 ambulatory residents and 7 non-ambulatory residents allowed. Linen closet, located in the hallway, was observed to contain a sufficient supply of towels and linens able to meet the needs of the residents at this time.A tour of the exterior grounds was conducted. A review of the facility perimeter fence, side gates, and walkways were observed to be maintained in compliance at this time with adequate lighting and rails installed. LPA observed medications locked and properly stored. LPA observed no obstruction of emergency exits. Exit signs in place as appropriate. Fire extinguisher in place in hallway and fully charged. No deficiencies observed during today's visit. A copy of this report was provided to Jagtar Singh.